Deep brain stimulation for trauma: Patient selection and evaluation
Identifieur interne :
000512 ( PascalFrancis/Curation );
précédent :
000511;
suivant :
000513
Deep brain stimulation for trauma: Patient selection and evaluation
Auteurs : Günther Deuschl [
Allemagne] ;
Peter Bain [
Royaume-Uni]
Source :
-
Movement disorders [ 0885-3185 ] ; 2002.
RBID : Pascal:02-0309275
Descripteurs français
English descriptors
Abstract
The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk-benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk-benefit ratio and of alternative treatments, before undergoing stereotactic surgery.
| pA |
| A01 | 01 | 1 | | @0 0885-3185 |
|---|
| A03 | | 1 | | @0 Mov. disord. |
|---|
| A05 | | | | @2 17 |
|---|
| A06 | | | | @3 SUP3 |
|---|
| A08 | 01 | 1 | ENG | @1 Deep brain stimulation for trauma: Patient selection and evaluation |
|---|
| A09 | 01 | 1 | ENG | @1 Deep Brain Stimulation for Movement Disorders |
|---|
| A11 | 01 | 1 | | @1 DEUSCHL (Günther) |
|---|
| A11 | 02 | 1 | | @1 BAIN (Peter) |
|---|
| A12 | 01 | 1 | | @1 DEUSCHL (Günther) @9 ed. |
|---|
| A12 | 02 | 1 | | @1 KRACK (Paul) @9 ed. |
|---|
| A12 | 03 | 1 | | @1 VOLKMANN (Jens) @9 ed. |
|---|
| A14 | 01 | | | @1 Department of Neurology, Christian-Albrechts-University Kiel @3 DEU @Z 1 aut. |
|---|
| A14 | 02 | | | @1 Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus @2 London @3 GBR @Z 2 aut. |
|---|
| A15 | 01 | | | @1 Christian-Albrechts-Universität @2 Kiel @3 DEU @Z 1 aut. @Z 3 aut. |
|---|
| A15 | 02 | | | @1 Centre hospitalier universitaire de Grenoble @2 Grenoble @3 FRA @Z 2 aut. |
|---|
| A18 | 01 | 1 | | @1 Movement Disorder Society. European Section @3 INC @9 patr. |
|---|
| A20 | | | | @2 S102-S111 |
|---|
| A21 | | | | @1 2002 |
|---|
| A23 | 01 | | | @0 ENG |
|---|
| A43 | 01 | | | @1 INIST @2 20953 @5 354000100905390150 |
|---|
| A44 | | | | @0 0000 @1 © 2002 INIST-CNRS. All rights reserved. |
|---|
| A45 | | | | @0 93 ref. |
|---|
| A47 | 01 | 1 | | @0 02-0309275 |
|---|
| A60 | | | | @1 P @2 C |
|---|
| A61 | | | | @0 A |
|---|
| A64 | 01 | 1 | | @0 Movement disorders |
|---|
| A66 | 01 | | | @0 USA |
|---|
| C01 | 01 | | ENG | @0 The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk-benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk-benefit ratio and of alternative treatments, before undergoing stereotactic surgery. |
|---|
| C02 | 01 | X | | @0 002B17A01 |
|---|
| C03 | 01 | X | FRE | @0 Tremblement @5 01 |
|---|
| C03 | 01 | X | ENG | @0 Tremor @5 01 |
|---|
| C03 | 01 | X | SPA | @0 Temblor @5 01 |
|---|
| C03 | 02 | X | FRE | @0 Stimulation instrumentale @5 04 |
|---|
| C03 | 02 | X | ENG | @0 Instrumental stimulation @5 04 |
|---|
| C03 | 02 | X | SPA | @0 Estimulación instrumental @5 04 |
|---|
| C03 | 03 | X | FRE | @0 Encéphale @5 07 |
|---|
| C03 | 03 | X | ENG | @0 Brain (vertebrata) @5 07 |
|---|
| C03 | 03 | X | SPA | @0 Encéfalo @5 07 |
|---|
| C03 | 04 | X | FRE | @0 Sélection @5 10 |
|---|
| C03 | 04 | X | ENG | @0 Selection @5 10 |
|---|
| C03 | 04 | X | SPA | @0 Selección @5 10 |
|---|
| C03 | 05 | X | FRE | @0 Malade @5 11 |
|---|
| C03 | 05 | X | ENG | @0 Patient @5 11 |
|---|
| C03 | 05 | X | SPA | @0 Enfermo @5 11 |
|---|
| C03 | 06 | X | FRE | @0 Article synthèse @5 16 |
|---|
| C03 | 06 | X | ENG | @0 Review @5 16 |
|---|
| C03 | 06 | X | SPA | @0 Artículo síntesis @5 16 |
|---|
| C03 | 07 | X | FRE | @0 Traitement @5 17 |
|---|
| C03 | 07 | X | ENG | @0 Treatment @5 17 |
|---|
| C03 | 07 | X | SPA | @0 Tratamiento @5 17 |
|---|
| C03 | 08 | X | FRE | @0 Homme @5 20 |
|---|
| C03 | 08 | X | ENG | @0 Human @5 20 |
|---|
| C03 | 08 | X | SPA | @0 Hombre @5 20 |
|---|
| C03 | 09 | X | FRE | @0 Type @5 23 |
|---|
| C03 | 09 | X | ENG | @0 Type @5 23 |
|---|
| C03 | 09 | X | SPA | @0 Tipo @5 23 |
|---|
| C03 | 10 | X | FRE | @0 Evaluation performance @5 24 |
|---|
| C03 | 10 | X | ENG | @0 Performance evaluation @5 24 |
|---|
| C03 | 10 | X | SPA | @0 Evaluación prestación @5 24 |
|---|
| C07 | 01 | X | FRE | @0 Système nerveux pathologie @5 37 |
|---|
| C07 | 01 | X | ENG | @0 Nervous system diseases @5 37 |
|---|
| C07 | 01 | X | SPA | @0 Sistema nervioso patología @5 37 |
|---|
| C07 | 02 | X | FRE | @0 Trouble neurologique @5 38 |
|---|
| C07 | 02 | X | ENG | @0 Neurological disorder @5 38 |
|---|
| C07 | 02 | X | SPA | @0 Trastorno neurológico @5 38 |
|---|
| C07 | 03 | X | FRE | @0 Mouvement involontaire @5 39 |
|---|
| C07 | 03 | X | ENG | @0 Involuntary movement @5 39 |
|---|
| C07 | 03 | X | SPA | @0 Movimiento involuntario @5 39 |
|---|
| C07 | 04 | X | FRE | @0 Traitement instrumental @5 45 |
|---|
| C07 | 04 | X | ENG | @0 Instrumentation therapy @5 45 |
|---|
| C07 | 04 | X | SPA | @0 Tratamiento instrumental @5 45 |
|---|
| C07 | 05 | X | FRE | @0 Système nerveux central @5 53 |
|---|
| C07 | 05 | X | ENG | @0 Central nervous system @5 53 |
|---|
| C07 | 05 | X | SPA | @0 Sistema nervioso central @5 53 |
|---|
| N21 | | | | @1 175 |
|---|
| N82 | | | | @1 PSI |
|---|
|
|---|
| pR |
| A30 | 01 | 1 | ENG | @1 Management of Patients with Deep Brain Stimulators. Meeting @3 Kiel DEU @4 2001-06-03 |
|---|
|
|---|
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Le document en format XML
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<author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name>
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<s3>DEU</s3>
<sZ>1 aut.</sZ>
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</affiliation><author><name sortKey="Bain, Peter" sort="Bain, Peter" uniqKey="Bain P" first="Peter" last="Bain">Peter Bain</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus</s1>
<s2>London</s2>
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<author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name>
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</imprint><seriesStmt><title level="j" type="main">Movement disorders</title>
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</seriesStmt><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain (vertebrata)</term>
<term>Human</term>
<term>Instrumental stimulation</term>
<term>Patient</term>
<term>Performance evaluation</term>
<term>Review</term>
<term>Selection</term>
<term>Treatment</term>
<term>Tremor</term>
<term>Type</term>
</keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tremblement</term>
<term>Stimulation instrumentale</term>
<term>Encéphale</term>
<term>Sélection</term>
<term>Malade</term>
<term>Article synthèse</term>
<term>Traitement</term>
<term>Homme</term>
<term>Type</term>
<term>Evaluation performance</term>
</keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords><front><div type="abstract" xml:lang="en">The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk-benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk-benefit ratio and of alternative treatments, before undergoing stereotactic surgery.</div>
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</fA08><fA09 i1="01" i2="1" l="ENG"><s1>Deep Brain Stimulation for Movement Disorders</s1>
</fA09><fA11 i1="01" i2="1"><s1>DEUSCHL (Günther)</s1>
</fA11><fA11 i1="02" i2="1"><s1>BAIN (Peter)</s1>
</fA11><fA12 i1="01" i2="1"><s1>DEUSCHL (Günther)</s1>
<s9>ed.</s9>
</fA12><fA12 i1="02" i2="1"><s1>KRACK (Paul)</s1>
<s9>ed.</s9>
</fA12><fA12 i1="03" i2="1"><s1>VOLKMANN (Jens)</s1>
<s9>ed.</s9>
</fA12><fA14 i1="01"><s1>Department of Neurology, Christian-Albrechts-University Kiel</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
</fA14><fA14 i1="02"><s1>Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Charing Cross Campus</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>2 aut.</sZ>
</fA14><fA15 i1="01"><s1>Christian-Albrechts-Universität</s1>
<s2>Kiel</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
</fA15><fA15 i1="02"><s1>Centre hospitalier universitaire de Grenoble</s1>
<s2>Grenoble</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
</fA15><fA18 i1="01" i2="1"><s1>Movement Disorder Society. European Section</s1>
<s3>INC</s3>
<s9>patr.</s9>
</fA18><fA20><s2>S102-S111</s2>
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<s5>354000100905390150</s5>
</fA43><fA44><s0>0000</s0>
<s1>© 2002 INIST-CNRS. All rights reserved.</s1>
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</fA47><fA60><s1>P</s1>
<s2>C</s2>
</fA60><fA64 i1="01" i2="1"><s0>Movement disorders</s0>
</fA64><fA66 i1="01"><s0>USA</s0>
</fA66><fC01 i1="01" l="ENG"><s0>The selection of patients with movement disorders for deep brain stimulation is becoming a common neurological and neurosurgical task. Deep brain stimulation is suitable for different forms of tremor, which can often not be treated with medication. This suitability applies for essential tremor, monosymptomatic tremor at rest, cerebellar or multiple sclerosis tremor, Holmes' tremor, primary writing tremor or tremor in neuropathies. The appropriate selection of patients is critical for the outcome of surgical relief of tremors. Considering the risks of any stereotactic intervention, the following must apply: (1) motor symptoms lead to a relevant disability in activities of daily living, despite optimal medical treatment; (2) biological age of the patient; (3) neurosurgical contraindications; (4) the patient is neither demented nor severely depressed. If these conditions are fulfilled, the individual chances of improvement of the target symptoms need to be checked, based on the following guidelines: (1) the kind of tremor, (2) the natural course of the tremor, (3) the chances for medical treatment in a particular patient, (4) the outcome of surgery in a specific condition, (5) the individual risks for a patient to suffer from complications. The outcome of surgery for tremor depends on the clinical type and distribution. Distal limb tremors are easier to treat than proximal limb tremors. Intention tremor is more difficult to treat than rest or postural tremor. The indication for surgical treatment depends on the analysis of the individual risk-benefit ratio, which also has to take into account the patients' social, professional, and familial background. The patient needs to be well informed about his individual risk-benefit ratio and of alternative treatments, before undergoing stereotactic surgery.</s0>
</fC01><fC02 i1="01" i2="X"><s0>002B17A01</s0>
</fC02><fC03 i1="01" i2="X" l="FRE"><s0>Tremblement</s0>
<s5>01</s5>
</fC03><fC03 i1="01" i2="X" l="ENG"><s0>Tremor</s0>
<s5>01</s5>
</fC03><fC03 i1="01" i2="X" l="SPA"><s0>Temblor</s0>
<s5>01</s5>
</fC03><fC03 i1="02" i2="X" l="FRE"><s0>Stimulation instrumentale</s0>
<s5>04</s5>
</fC03><fC03 i1="02" i2="X" l="ENG"><s0>Instrumental stimulation</s0>
<s5>04</s5>
</fC03><fC03 i1="02" i2="X" l="SPA"><s0>Estimulación instrumental</s0>
<s5>04</s5>
</fC03><fC03 i1="03" i2="X" l="FRE"><s0>Encéphale</s0>
<s5>07</s5>
</fC03><fC03 i1="03" i2="X" l="ENG"><s0>Brain (vertebrata)</s0>
<s5>07</s5>
</fC03><fC03 i1="03" i2="X" l="SPA"><s0>Encéfalo</s0>
<s5>07</s5>
</fC03><fC03 i1="04" i2="X" l="FRE"><s0>Sélection</s0>
<s5>10</s5>
</fC03><fC03 i1="04" i2="X" l="ENG"><s0>Selection</s0>
<s5>10</s5>
</fC03><fC03 i1="04" i2="X" l="SPA"><s0>Selección</s0>
<s5>10</s5>
</fC03><fC03 i1="05" i2="X" l="FRE"><s0>Malade</s0>
<s5>11</s5>
</fC03><fC03 i1="05" i2="X" l="ENG"><s0>Patient</s0>
<s5>11</s5>
</fC03><fC03 i1="05" i2="X" l="SPA"><s0>Enfermo</s0>
<s5>11</s5>
</fC03><fC03 i1="06" i2="X" l="FRE"><s0>Article synthèse</s0>
<s5>16</s5>
</fC03><fC03 i1="06" i2="X" l="ENG"><s0>Review</s0>
<s5>16</s5>
</fC03><fC03 i1="06" i2="X" l="SPA"><s0>Artículo síntesis</s0>
<s5>16</s5>
</fC03><fC03 i1="07" i2="X" l="FRE"><s0>Traitement</s0>
<s5>17</s5>
</fC03><fC03 i1="07" i2="X" l="ENG"><s0>Treatment</s0>
<s5>17</s5>
</fC03><fC03 i1="07" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>17</s5>
</fC03><fC03 i1="08" i2="X" l="FRE"><s0>Homme</s0>
<s5>20</s5>
</fC03><fC03 i1="08" i2="X" l="ENG"><s0>Human</s0>
<s5>20</s5>
</fC03><fC03 i1="08" i2="X" l="SPA"><s0>Hombre</s0>
<s5>20</s5>
</fC03><fC03 i1="09" i2="X" l="FRE"><s0>Type</s0>
<s5>23</s5>
</fC03><fC03 i1="09" i2="X" l="ENG"><s0>Type</s0>
<s5>23</s5>
</fC03><fC03 i1="09" i2="X" l="SPA"><s0>Tipo</s0>
<s5>23</s5>
</fC03><fC03 i1="10" i2="X" l="FRE"><s0>Evaluation performance</s0>
<s5>24</s5>
</fC03><fC03 i1="10" i2="X" l="ENG"><s0>Performance evaluation</s0>
<s5>24</s5>
</fC03><fC03 i1="10" i2="X" l="SPA"><s0>Evaluación prestación</s0>
<s5>24</s5>
</fC03><fC07 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07><fC07 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07><fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07><fC07 i1="02" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>38</s5>
</fC07><fC07 i1="02" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>38</s5>
</fC07><fC07 i1="02" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>38</s5>
</fC07><fC07 i1="03" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>39</s5>
</fC07><fC07 i1="03" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>39</s5>
</fC07><fC07 i1="03" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>39</s5>
</fC07><fC07 i1="04" i2="X" l="FRE"><s0>Traitement instrumental</s0>
<s5>45</s5>
</fC07><fC07 i1="04" i2="X" l="ENG"><s0>Instrumentation therapy</s0>
<s5>45</s5>
</fC07><fC07 i1="04" i2="X" l="SPA"><s0>Tratamiento instrumental</s0>
<s5>45</s5>
</fC07><fC07 i1="05" i2="X" l="FRE"><s0>Système nerveux central</s0>
<s5>53</s5>
</fC07><fC07 i1="05" i2="X" l="ENG"><s0>Central nervous system</s0>
<s5>53</s5>
</fC07><fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervioso central</s0>
<s5>53</s5>
</fC07><fN21><s1>175</s1>
</fN21><fN82><s1>PSI</s1>
</fN82><pR><fA30 i1="01" i2="1" l="ENG"><s1>Management of Patients with Deep Brain Stimulators. Meeting</s1>
<s3>Kiel DEU</s3>
<s4>2001-06-03</s4>
</fA30>
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